Insiders Summer Education Series MDS 3.0 v1.18.11 Section A

MDS version 1.18.11 will be effective October 1, 2023. The DRAFT version of the RAI Manual has been released. This program will provide a high level overview of the DRAFT RAI Manual Revisions. Course materials can downloaded here. You can request NAB hours here....

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CMS Targeted Probe: Top 10 Things for Providers to Know

Since the initiation of PDPM in October of 2019 providers have been long awaiting medical review from CMS program integrity to assess the accuracy of interdisciplinary team documentation. Now they are here and even though the 45-day turnaround is a quick one, no need to fret. We are here to provide you with key areas… Continue reading CMS Targeted Probe: Top 10 Things for Providers to Know

Broad River Rehab Summer Education Series: MDS 3.0 v1.18.11

During our monthly Broad River Rehab Reflections presentation, we highlighted the changes to the recently released MDS. Thank you again to those of you who participated in that web presentation. For those unable to join, we posted the recording and materials on the Insiders page. We are excited to announce that yesterday’s presentation was the…...

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Med A Census Navigator™ Update!

Oh man, it’s been a LONG time since I posted something on here. It feels good to be back. Today, we’re announcing an update to Med A Census Navigator! It’s a pretty big update too. DRG Codes are here! Based on lots of feedback, we heard that you’d like to be able to see the…...

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Regulatory Reminder! Inappropriate Schizophrenia Diagnosis/Coding and Survey Citation Posting

It’s a new year and CMS has not wasted any time in making clear their efforts to stem the tide of what they perceive to be inappropriate diagnosing and coding of Schizophrenia. There are going to be some pretty significant adjustments to the 5-star rating system and Care Compare posting of survey citations under dispute.…...

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Regulatory Reminder!

Well, it’s been a while and there have been a number of important regulatory soundbites recently. Here goes! Soundbite 1: The COVID-19 Public Health Emergency renewal On October 13th, DHHS renewed the COVID-19 PHE for another 90 days. As a result, the existing waivers are still active. HHS has stated they will give 60 days…...

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Knock Knock! Who’s there? The Revised 5-Star User’s Guide!

The much-anticipated 5-Star user’s guide including cut point revisions has been posted! These revisions affect the October Care Compare refresh and provider 5-star ratings. As you may be aware, In March 2019, CMS released memorandum QSO-19-08-NH. This memo outlined a plan to update the quality measure (QM) rating thresholds twice annually. The plan was to… Continue reading Knock Knock! Who’s there? The Revised 5-Star User’s Guide!

BRR Insiders Final Rule Series: deep dive into the expanding VBP program

Hello there Insiders! If you missed today’s webinar on the final rule, you can watch the video below. If you are here for those sweet credit hours, then follow this link....

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